NCT04853069

Brief Summary

The aim of this trial is to determine whether oestrogen treatment mitigates disease progression and severity in confirmed COVID19.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
2,000

participants targeted

Target at P75+ for phase_2 covid19

Timeline
Completed

Started May 2021

Typical duration for phase_2 covid19

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 6, 2021

Completed
15 days until next milestone

First Posted

Study publicly available on registry

April 21, 2021

Completed
26 days until next milestone

Study Start

First participant enrolled

May 17, 2021

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2022

Completed
Last Updated

April 21, 2021

Status Verified

March 1, 2021

Enrollment Period

10 months

First QC Date

April 6, 2021

Last Update Submit

April 19, 2021

Conditions

Keywords

COVID-19Oestrogen

Outcome Measures

Primary Outcomes (2)

  • Evidence of disease progression for mild cases

    Proportion hospitalised within 28 days

    28 days

  • Evidence of disease progression in hospitalised patients (moderate and severe cases)

    Proportion requiring mechanical ventilation or dying within 28 days

    28 days

Secondary Outcomes (6)

  • Hospital mortality

    28 days

  • Duration of hospital admission

    28 days

  • Admission to ICU/ HDU facility

    28 days

  • Need for renal replacement therapy

    28 days

  • Ventilation

    28 days

  • +1 more secondary outcomes

Study Arms (2)

Oestrogen Therapy

ACTIVE COMPARATOR

Patients will receive standard care + transdermal 17ß-estradiol gel (3 mg) for ten days.

Drug: Transdermal estradiol gel

Control Group

NO INTERVENTION

Patients will receive only standard care.

Interventions

Patients will receive standard care +/- (randomsed 1:1) transdermal 17ß-estradiol gel (3 mg; applied to forearm, upper arm and shoulder) for ten days.

Also known as: oestrogel, estrogel
Oestrogen Therapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Acute Covid-19 disease (PCR-confirmed or clinically diagnosed with high certainty)
  • Adult males \> 18 years of age OR
  • Post-menopausal women (spontaneous amenorrhoea for \>12 months in the absence of any other cause)

You may not qualify if:

  • Women:
  • taking oestrogen supplements or oestrogen receptor antagonists
  • with abnormal genital bleeding
  • with a history of breast cancer
  • with a history of endometrial or ovarian cancer
  • with untreated endometrial hyperplasia
  • Men:
  • taking hormone therapies (e.g. for prostate cancer)
  • Any subject:
  • failure to obtain consent
  • taking lamotrigine
  • with a thromboembolic disorder (e.g. Protein C or Protein S deficiency, antithrombin III deficiency)
  • with pre-existing liver or renal disease
  • with known allergy to exogenous oestrogens
  • with a history of porphyria
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hamad Medical Corporation

Doha, PO Box 3050, Qatar

Location

MeSH Terms

Conditions

COVID-19

Interventions

Estradiol

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

EstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic CompoundsEstradiol CongenersGonadal Steroid HormonesGonadal HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists

Central Study Contacts

Michael P Frenneaux

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Open label, randomized controlled trial, with patients randomized 1:1 to usual care, or usual care + oestrogen therapy. Prior to enrolment, an online CRF will be completed which will confirm that the patient meets the inclusion and exclusion criteria. Randomisation will be undertaken by the statistician in Qatar. Separate randomisation codes will be allocated for patients in Qatar and those in India, and separate randomisation will be performed for males and females. Randomisation will be enclosed in sequentially numbered sealed envelopes (with separate envelopes for males and females). Patients will be allocated to either the treatment or control group.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 6, 2021

First Posted

April 21, 2021

Study Start

May 17, 2021

Primary Completion

February 28, 2022

Study Completion

March 31, 2022

Last Updated

April 21, 2021

Record last verified: 2021-03

Locations